Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study
Background: A Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review, but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current stan...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/11/5/142 |
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| author | Daniele Mengato Lisa Pivato Lorenzo Codato Fernanda Fabiola Faccioli Laura Camuffo Maria Cecilia Giron Francesca Venturini |
| author_facet | Daniele Mengato Lisa Pivato Lorenzo Codato Fernanda Fabiola Faccioli Laura Camuffo Maria Cecilia Giron Francesca Venturini |
| author_sort | Daniele Mengato |
| collection | DOAJ |
| description | Background: A Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review, but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current standard practice of ward staff-collected BPMH in an Italian preoperative surgical setting. Methods: A 20-week prospective observational non-profit study was conducted in a major university hospital. The study comprised three phases: a feasibility, an observational, and an interventional phase. During the feasibility phase, 10 items for obtaining a correct BPMH were identified. The control group consisted of retrospectively analyzed BPMHs collected by the ward staff during the observational phase, while interventions included BPMHs collected by the clinical pharmacist during the third phase. Omissions between the two groups were compared. Results: 14 (2.0%) omissions were found in the intervention group, compared with 400 (57.4%) found in the controls (<i>p</i> < 0.05); data collection was more complete when collected by pharmacists compared to the current modality (98.0% of completed information for the intervention versus 42.6%; <i>p</i> < 0.05). Conclusions: The involvement of a pharmacist significantly reduced the number of omissions in preoperative surgical-collected BPMHs. This intervention holds the potential to decrease the risk of medication errors associated with inaccurate or incomplete BPMHs prior to surgical hospitalization. |
| first_indexed | 2024-03-10T20:57:51Z |
| format | Article |
| id | doaj.art-a979c402c01b445eae13b924db40e23a |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-10T20:57:51Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-a979c402c01b445eae13b924db40e23a2023-11-19T17:45:49ZengMDPI AGPharmacy2226-47872023-09-0111514210.3390/pharmacy11050142Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective StudyDaniele Mengato0Lisa Pivato1Lorenzo Codato2Fernanda Fabiola Faccioli3Laura Camuffo4Maria Cecilia Giron5Francesca Venturini6Hospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, ItalyHospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, ItalyDepartment of Pharmaceutical and Pharmacological Sciences, University of Padova, Pharmacology Building, Via Marzolo 5, 35131 Padova, ItalyHospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, ItalyHospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, ItalyDepartment of Pharmaceutical and Pharmacological Sciences, University of Padova, Pharmacology Building, Via Marzolo 5, 35131 Padova, ItalyHospital Pharmacy Department, Padova University Hospital (Azienda Ospedale-Università Padova), Via Giustiniani 2, 35128 Padua, ItalyBackground: A Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review, but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current standard practice of ward staff-collected BPMH in an Italian preoperative surgical setting. Methods: A 20-week prospective observational non-profit study was conducted in a major university hospital. The study comprised three phases: a feasibility, an observational, and an interventional phase. During the feasibility phase, 10 items for obtaining a correct BPMH were identified. The control group consisted of retrospectively analyzed BPMHs collected by the ward staff during the observational phase, while interventions included BPMHs collected by the clinical pharmacist during the third phase. Omissions between the two groups were compared. Results: 14 (2.0%) omissions were found in the intervention group, compared with 400 (57.4%) found in the controls (<i>p</i> < 0.05); data collection was more complete when collected by pharmacists compared to the current modality (98.0% of completed information for the intervention versus 42.6%; <i>p</i> < 0.05). Conclusions: The involvement of a pharmacist significantly reduced the number of omissions in preoperative surgical-collected BPMHs. This intervention holds the potential to decrease the risk of medication errors associated with inaccurate or incomplete BPMHs prior to surgical hospitalization.https://www.mdpi.com/2226-4787/11/5/142clinical pharmacistpharmacist interventionperioperativesurgical settingpotentially inappropriate medicationbest possible medication history |
| spellingShingle | Daniele Mengato Lisa Pivato Lorenzo Codato Fernanda Fabiola Faccioli Laura Camuffo Maria Cecilia Giron Francesca Venturini Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study Pharmacy clinical pharmacist pharmacist intervention perioperative surgical setting potentially inappropriate medication best possible medication history |
| title | Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study |
| title_full | Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study |
| title_fullStr | Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study |
| title_full_unstemmed | Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study |
| title_short | Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study |
| title_sort | best possible medication history collection by clinical pharmacist in a preoperative setting an observational prospective study |
| topic | clinical pharmacist pharmacist intervention perioperative surgical setting potentially inappropriate medication best possible medication history |
| url | https://www.mdpi.com/2226-4787/11/5/142 |
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